School of Liberal Arts and Social Sciences (SLASS), Independent University, Dhaka, Bangladesh
School of Health Sciences, Western Sydney University, Campbeltown, New South Wales, Australia.
BMJ Open. 2022 Mar 17;12(3):e056037. doi: 10.1136/bmjopen-2021-056037.
INTRODUCTION: Medical waste management (MWM)-related factors affecting the health of medical waste handlers (MWHs) and their health risks in low and middle-income countries (LMICs) are an important public health concern. Although studies of MWM-related factors and health risks among MWHs in LMICs are available, literature remains undersynthesised and knowledge fragmented. This systematic review will provide a comprehensive synthesis of evidence regarding the individual, system and policy-level MWM-related factors that affect MWHs' health and their experiences of health risks in LMICs. METHODS AND ANALYSIS: All qualitative studies published in peer-reviewed journals between 1 July 2011 and 30 June 2021 with full texts available and accessible will be included in the review. Seven specific electronic databases (eg, Scopus, Ovid MEDLINE, EMBASE, Global Health, CINAHL, ProQuest and PsycINFO) will be searched. Two authors will review the citations and full texts, extract data and complete the quality appraisal independently. A third reviewer will check discrepancies when a consensus cannot be reached on differences between the two reviewers. Data extraction will be conducted using the Joanna Briggs Institute standardised data extraction form for qualitative research. The quality of articles will be assessed using a Critical Appraisal Skills Programme checklist. Results from eligible articles will be synthesised into a set of findings using the thematic framework analysis approach and will be reported according to the Enhancing Transparency in Reporting the Synthesis of Qualitative Research statement. ETHICS AND DISSEMINATION: This review is based on published articles, which does not require ethical approval because there is no collection of primary data. Findings from this review will be published in a peer-reviewed journal and presented at relevant public health conferences. This protocol has been registered with the International Prospective Register of Systematic Reviews (PROSPERO). PROSPERO REGISTRATION NUMBER: CRD42020226851.
简介：医疗废物管理（MWM）相关因素会影响中低收入国家（LMICs）医疗废物处理人员（MWHs）的健康及其健康风险，这是一个重要的公共卫生关注点。尽管已有研究探讨了 LMICs 中与 MWM 相关的因素和 MWHs 的健康风险，但文献仍未得到充分综合，知识也较为零散。本系统评价将全面综合有关影响 MWHs 健康的 MWM 相关因素以及他们在 LMICs 中面临的健康风险的个体、系统和政策层面的证据。
方法和分析：所有在 2011 年 7 月 1 日至 2021 年 6 月 30 日期间在同行评审期刊上发表且可获取全文的定性研究都将被纳入本综述。将检索 7 个特定的电子数据库（如 Scopus、Ovid MEDLINE、EMBASE、全球健康、CINAHL、ProQuest 和 PsycINFO）。两名作者将独立审查引文和全文、提取数据并完成质量评估。当两名评审员之间存在分歧且无法达成共识时，将由第三名评审员进行检查。数据提取将使用 Joanna Briggs 研究所的定性研究标准化数据提取表进行。将使用批判性评估技巧计划清单评估文章的质量。合格文章的结果将使用主题框架分析方法综合为一组发现，并根据增强定性研究综合报告透明度声明进行报告。
伦理与传播：本综述基于已发表的文章，由于没有收集原始数据，因此不需要伦理批准。本综述的结果将发表在同行评议的期刊上，并在相关的公共卫生会议上展示。本方案已在国际前瞻性系统评价登记册（PROSPERO）上注册。
PROSPERO 注册号：CRD42020226851。
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